Organization Active NPI

Vincent C Chin M.D., P.a.

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1821391996
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
035766 Issued in FL
Legal business name
VINCENT C CHIN M.D., P.A.
Practice address
19411 NW 2ND Ave
Miami, FL 33169-3314
Phone
(305) 653-5056
Fax
(305) 652-2140
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vincent Charley Chin, M.D.
Title
President
Phone
(305) 653-5056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 035766 FL Primary

Addresses

Primary practice location

19411 NW 2ND Ave
Miami, FL 33169-3314

Mailing address

19411 NW 2ND Ave
Miami, FL 33169-3314
Phone (305) 653-5056

Other identifiers 1

IdentifierTypeStateIssuer
065607100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1821391996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19411 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331693314",
            "telephone_number": "305-653-5056",
            "fax_number": "305-652-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331693314",
            "telephone_number": "305-653-5056",
            "fax_number": "305-652-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT C CHIN M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "CHARLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-653-5056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "035766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065607100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.